Effective Approaches in Leadership and Management
The enactment of the affordable care act has significantly changed the structure of all health care. As the focus of treatment at health care facilities all across the country transitions from specialty care and acute illnesses to preventative and long term health management, many changes have taken effect that have directly affected the approach and delivery of care. One of the greatest changes is the vast amount of patients that are now seeking health care. In an attempt to keep up with these high demands, many facilities have been left scrambling to adjust their budgets, reduce excess spending, and implement more efficient means of care ...view middle of the document...
d.). The concept of magnet status was first conceived in the early 1980’s and was born of an inquiry as to how certain hospitals were able to retain and motivate nursing staff. This concept was identified based on the results of several research studies and documented in an article entitled “Magnet Hospitals: Attraction and Retention of Professional Nurses,” written and published in 1983 by Dr. McClure president of the American Academy of Nursing (AAN), professor at New York University, and a member of the original task force (Hawke, 2004). Currently in the United States only six percent, or 389 hospitals, have achieved Magnet status with twenty-six of these located in California ("Magnet," 2013, para. 2). Statistics have shown that Magnet hospitals have excellent patient satisfaction scores, safer patient environments, fewer repeat admissions, and better patient outcome overall.
There are many rigorous qualifications that must be met and maintained throughout a facilities’ designation. It is imperative that nursing leadership and management work together within their defined roles to accomplish the goal of recognizing, organizing and accomplishing the tasks and to ensure the staff participation needed to achieve nursing excellence. Only by existing within these defined roles, can the most efficient and accurate results be obtained.
The role of management is to identify the resources that are required to accomplish the target goal of the organization. A manager must also plan, organize and implement strategies from an organizational level that outline what is required of subordinates in order to meet the proposed goal (Huber, 2010, p. 31). It is the responsibility of the manager to ensure that policies and procedures are implemented and carried out correctly. To achieve Magnet status the nurse manager would need to survey patients and staff to define areas of weakness that would need to be addressed by staff to improve patient satisfaction. These actions can include steps to becoming more financially efficient by reducing waste, ensuring Medicare reimbursement through patient satisfaction, and nursing practices that reflect these decisions such as bedside reporting, user-friendly patient education, hourly rounding and updating whiteboards.
The role of the nursing leader is to assist the nurse manager in accomplishing the organizational goals by facilitating smoother transitions through communication, guidance and assisting staff in the understanding of what the vision is, why they are being asked to do certain things, and how they relate to the larger picture. This is accomplished by establishing trust and striving toward cohesion and mutual tolerance while managing conflict ("The difference between leadership and management," 2012, para. 2).
In comparing and contrasting managers and leaders there are some points to consider. In management, many goals are established by other people and carried out by the managers within the organization....